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Recurrent Miscarriage

Our Recurrent Miscarriage Service offers screening to couples who have had three or more miscarriages.  Our aim is to establish if there are any factors that may have contributed to the loss of the pregnancies.


What does the screening involve?

Women will undergo:

  • Hormonal profiling of the menstrual cycle.
  • Screening for pelvic infections, which involves taking triple swabs from the pelvic canal.
  • A pelvic scan to exclude any abnormalities of the pelvic organs, such as an unusual shaped uterus and to exclude cysts on ovaries, womb polyps and fibroids.
  • Blood tests for sticky blood syndrome (antiphospholipid syndrome) and any unusual antibodies and proteins in the blood.
  • Investigations to exclude lupus and anaemia following a miscarriage.
  • Thyroid function tests, to make sure that the thyroid is functioning well, as this has an impact on fertility.

Before leaving the clinic you will be given a date and time to attend a follow up appointment. The timescale for this will take into account the length of time it will usually take for all the relevant tests to be completed and returned.

If any tests need to be repeated, for example if any initial tests show an abnormal result, you will be notified of this by letter.


What support do we give?

During our screening clinic we offer at least half an hour extra to each patient to give emotional support and time for our couples to ask questions and explore what could have led to a miscarriage.

Some couples will feel emotionally supported but others may need to be referred to a counsellor for further support. Please click here for further information about our Counselling Service.


What will happen at the follow up appointment?

At this appointment we will discuss the results of your tests with you.

If all results are normal, we would advise that you:

  • Take 5mg of Folic acid whilst trying for another pregnancy.
  • Book early for antenatal care.
  • Arrange with the Emergency Gynaecology Unit for a reassurance scan to be performed at 7 weeks of any future pregnancy.


If the results are abnormal:

Couples with lupus or sticky blood syndrome are referred to Dr L Byrd, Consultant Obstetrician, who has a specialist interest in couples who have experienced recurrent miscarriages.

If other gynaecological problems are identified, couples may be referred to Dr E Edi-Osagie, Consultant Gynaecologist, for further management.


Our staff:


How can I access this service?

Referrals are made from the Emergency Gynaecology Unit following a third miscarriage.

We also accept referrals from General Practitioners and other hospitals.



Gynaecology Out-patient Department, ground floor, Saint Mary's Hospital


Clinic times:

Tuesdays                      9.00 am - 12.30 pm

Alternate Fridays           9.00 am - 12.30 pm

Contact details:

Gracias Bhima

Advanced Nurse Practitioner, Gynaecology

Telephone:  (0161) 276 6279 (secretary) (Monday to Friday, 9.00 am - 4.30 pm) or bleeper number 4325


Information Leaflets:


Additional Support: